London Housing LIN HAPPI 3 Conference 12 October 2016, Knight Frank Jeremy Porteus Director Housing LIN

About the Housing LIN Previously responsible for managing the DH’s £227m Extra Care Housing Fund and £80m Telecare in England grant 48,000 members across housing, health and social services to help improve partnership working and integration on housing and care Essential online resources on housing with care for older people to support commissioners, funders and providers in market development, innovation and investment Publish papers to brief on latest innovative policy, research and practice developments in housing, care and support for older people 10 regional ‘learning labs’ in England and Wales supporting local information exchange, peer-to-peer shared learning and improvement activities, and exemplar study visits

Planning our housing for later life – UK style By 2040, nearly 1 in 4 people will be over 65 and 1 in 7 people are expected to be aged over 75. (source: Foresight, Government Office for Science).

Planning our housing for later life – US style

Still not Ready for Ageing! “We have a huge undersupply of retirement housing. New mainstream housing is, in the main, not being built to Lifetime Homes Standards, and older people are not being adequately supported to adapt their own homes. Significant numbers of older people live in housing officially classified as ‘unfit’.” Ready for Ageing Alliance (2016)

Getting the message across “The focus for many has purely been on bricks and mortar. If we’re going to create truly aspirational communities for seniors it needs to move beyond design and be about connection and relationships” Sara McKee, Housing LIN Viewpoint “The shortage of purpose-built housing for older people is ‘bed-blocking’ the housing market.” John Pankhurst, Inside Housing

What does contemporary housing for older people look like? Matching different housing options to identified need in particular locations/communities Based on strong partnerships - signalling clearly to the market and providers what types of housing options will be required and supported New care and support delivery models Ensuring there is a balance and mix of housing options (dwelling and tenure) developed and available to meet future need

Future housing market? Commissioned extra care housing as an alternative to residential care eg the new care hotel? Lifestyle/HAPPI style retirement housing ‘offer’ for “extended middle age” Retirement Villages, provide scale and balance of care but towards ‘hub and spoke’ model? “Silver” club membership of residents eg 55+ in mainstream housing Smarter technology enabled services Consumer owned solutions eg co-housing, mutuals, community-led approaches, collaborative care

Making integration work: building capital Working with NHS England, ADASS and a consortia of housing industry leads on the role of housing in delivering health and wellbeing in a new Memorandum of Understanding The shared statement on the health and social care £5.3b Better Care Fund makes reference to £220m Disabled Facilities Grant and other capital grant funding (£135m) per annum DH Care and Support Specialised Housing Fund, administered by the HCA and GLA. Phase One saw 122 new schemes in England approved for older and vulnerable people with long term conditions, with Phase Two (£155m) for London and rest of England

But, is our housing ‘unfit for ageing’? The NHS spends £1.3bn every year because of poor housing eg trips/falls, energy efficiency/fuel poverty Hospital discharge schemes offering housing help to speed up patient release save local social care budgets least £120 a day Where it is appropriate, postponing entry into residential care for one year saves an average of £28,080 per person Providing an adaptation in a timely fashion can reduce social care costs by up to £4,000 a year NHS England Healthy New Towns programme across 10 sites (inc Darlington, Runcorn and Fylde) NHS England ‘vanguards’ = better care at home in South Yorkshire

Improving later life Building personal resilience Detachment from social participation in older age can have negative impacts on health & wellbeing, including depression, physical and cognitive decline, and increased mortality. Building community resources to resilience Social mobilisation – providing ways and means to build, enable and support older people’s connections to social networks in the community and to foster their mutual aid Co-creating lifelong neighbourhoods Older people are both the beneficiaries of and contributors to all age-friendly activities that span the generations.

CollaborAGE – “my 5 I’s” What do older residents aspire to? Involvement: Ease of maintaining existing social networks and opportunities for wider social interaction including multi-generational contact Independence: Privacy when wanted by having own front door and with security of tenure Inclusion: Living in a community which will be “fun” and would foster self-reliance, self-control and determination, interdependence and co-operation. These being factors that contribute directly to continued independent living, successful ageing and enhancement of a longer life Integrated: With health professionals embedded within but not dominating the scheme, would ensure that residents, when hospitalised, would not ‘bed-block’ at time of discharge Inviting: Having open welcoming public areas and quality apartments provide a retirement complex to which children and grandchildren will be happy to visit and create ‘feel good’ memories for all

Some principles of design for older people Easy access to outdoor space Homely and practical internal environment Therapeutically and psychologically informed environment Shared activity space to tackle isolation Located close to community and health facilities, ‘hub and spoke’ Flexible to enable varying level of personal care and support Engagement and partnerships with NHS providers, commissioners and partners Link to Health & Wellbeing

Getting the design quality right Doing it for ourselves/co-design a volunteer ethos- desire and necessity for next generation of older people; resident-led, self-care, mutual ownership, co-housing, ‘virtual’ villages, age-friendly communities ‘Care ready’ housing housing more closely integrated housing, care and support commissioned locally to reduce dependency, address long term conditions such as dementia

Developing age-friendly approaches Naturally Occurring Retirement Communities – where there are already older populations <35% Lifetime Neighbourhoods – designing built environment for health and wellbeing, greater accessibility, green space, enables participation Age Friendly Cities (WHO) – investment in wider infrastructure Devo agenda – new fiefdoms? Smart Cities and digital platforms Urbanisation/regeneration v rural communities

Useful web resources Housing LIN dedicated webpage: Design ‘hub’ with content on: Accessible design; HAPPI; Designing extra care housing; age-friendly communities; eco-housing; planning and inclusive design www.housinglin.org.uk/Topics/browse/Design_building/

Thank you www.housinglin.org.uk c/o EAC 3rd Floor, 89 Albert Embankment London SE1 7TP email: info@housinglin.org.uk tel: 020 7820 8077 website: www.housinglin.org.uk Twitter: @HousingLIN